HomeMy WebLinkAboutBuilding Permit 99-1310
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Clc;-I3IC
DIRECTIONS --
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. S.~yg;1 Aov ~{"
3. LEGAL DESCRIPTION I
lOT
/4
BLOC!'
ADDITION
P,K.OO~:5l! ILl h
.. OW~ ...-r"'"'me)
((U5<; (Imft\er_.......
5. ARCHITECT (Name)
6. BUILDER
(Name)
7. TYPE OF WORK
New Construction C'J
Fireplace C'J
Alterations C'J
IW/rf
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
s-I,
12. NO. OF STORIES
-3 PIDZ5-187-04-..,3-0
HIUS {..,TJj
13. TYPE OF CONSTRUCTION
(Address) {
Sa. "b.v<.
(Address)
(Tel,No.)
rff/7 -..s 'f2 7
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
AdditiO~
SEATS
16. PROJECT COSTNALUE
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the a~v ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
build' o. I can r~is permit for just cause. Furthermore, I hereby agree that the city official or a design,ee may enter upon the property to ~~.J~iOns.
1 ~U~.<" - ~,
, / Signature license No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
FES It,! ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check fee .........................,.., ~
State Surcharge ...................,.,.",... $
Penalty...............,....,.,........ .... .... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...............,..,... !I:
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION Il'l()(?' 61"l
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
LI
S U
City:
Amount Brought Forward ..............,... $
Park Support Fee .....,...,.,.,.,.,.,...,... It
SAC .............,.,.,.,...,.,.,............. It
Collective Street Fee ....................... It
Sewer Tap ..............,...,...,.,.,......., It
$
::rtl. '7s-
'2.'2.M
,qo
Pressure Reducer ......,...,.,.,........... It
MeterHom ....................,.,...,.,.,..., $
Water Meter ....................,...,.....,., $
Sewer & Water Connection Fee ........,., It
WaterTowerFee ...........................4"
Thi
By
Water Tap ..,.,.,.,.,...,...,......,...,..... $
Builder's Deposit .,.,...,...,.....".."...,. $
Other ......................................... $
Total Due .............................. $
Paid .p? .f',"/
Dale )f/;~/I;q By
j . ,
This ~fy ~lhe ~: in Ihe above applicalion and accompanying doc"ments is in aocmdance w;!h the City Zoning Ordinance and may proce s req"ested. This docement when
s~n[_ by I ~ . n~er.;:}(~ Certilica/j '~l41:Pliance and allows const,"ction 10 commence. Before occepancy. a Certibte of Oc,"pancy m"st be iss"ed.
- (I ~y Planner a Special Conditions it any
24 hour notice for aU inspections 447-9850
Issued
.'>7. B4-
(.,n)~
~~
White - Building
Canary - Engineering
Pink - Planning
ThE' ('''"Ier of Ihr L.k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
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Denied
V"
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rf >;Urixu}(j) - IJ/L ,
I
Accepted With Corrections
Accepted
Reviewed By:
Date:
JJ - 5-n
Comments:
j rrr'v!vlA)1l1 {Ult -{)J.c ,t{1
"The issuance or granting of a permit or approval of plans, specificatic;i1s and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
~1
(jrJ-/3/0
The (...nt..rof Ih.. L.k.. Countl')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI:I.ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/< U ~S -r /1'-11'-1 t;: f2 /'-J /} N
1114/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5482-
BOUNTY .2:::, {
I
Accepted
Accepted With Corrections ~
Denied ~ L-----
Reviewed B: ~r
Comments:
Date: JI-7'-'7S
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE'ADDRESS 9/82... ~1J""t..:J >1-
NATURE OF WORK AcRof'-1 V (.. 'A'tJ .
USE OF BUILDING 5P.b
PERMIT NO. _<11 - 1:S ( 0 DATE ISSUED / ! - ? - 7.7
CONTRACTOR -r;;1'WI......o#.J .. -----
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
I FOOTI::E PERMIT IS BY SEPAR~TE DO?~~NT I \1\ l'I .~;
, FOUNDATION (Prior to Backfill) I (LiJ I~~ I \
PLACE NO CONCRETE UNTILt,(BOVE-' HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~ ,z-/u,hj
f) /pJ/t;() -
HEATING (if required)
IV1 "- I -t.(U !<J'i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
... r-.... ..-~- -'" -r .
" '
BUILDING
ELECTRICAL
w4
;:~61L(-
HEATING
DO NOT OCCUpy
&:n 4(9/[; (
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and" maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
;~#
~A~'7 /- ;/ ,\/
CONTR. /
99-/5/0
--
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/' .__./ ./ /' i
( I' /C>5t" r-;/e
~ORK SA -':'CTORV, PROCEED
4~RRECT ACTION ~n
o CORRECT WORK, CA:;g REINSPECTION BEFORE COVERING
Inspector. /CZ- Owner/Contr:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(S-4/r2
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
P'fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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(;y.....'"/.o..e ,,?<. T-/!"'cftM
~
/;;: 7//
Ore"
-
,--
...----
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
....
C)~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
u<sNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI